2025 ICD-10-CM code Z99.2
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99) 22. Factors Influencing Health Status and Contact with Health Services (Z00-Z99) Feed
Dependence on renal dialysis.
Medical necessity for dialysis is established by the patient's dependence on the treatment to maintain life or prevent serious complications due to kidney failure.The medical record should document the clinical indications for dialysis, such as fluid overload, electrolyte imbalance, or uremic symptoms.
The physician's responsibility includes assessing the patient's dialysis needs, ordering and monitoring dialysis treatments, managing complications, and coordinating care with other healthcare professionals involved in the patient's dialysis care, such as nephrologists, dialysis nurses, and dietitians.
- 22. Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
- Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
In simple words: This code indicates that the patient relies on regular dialysis treatments because their kidneys are not functioning properly.
Dependence on renal dialysis.This code indicates that the patient is currently dependent on renal dialysis for survival, encompassing both hemodialysis and peritoneal dialysis.
Example 1: A 65-year-old patient with end-stage renal disease (ESRD) receives regular hemodialysis treatments three times a week. The Z99.2 code is used to indicate their dependence on renal dialysis., A 50-year-old patient with acute renal failure requires temporary hemodialysis until their kidney function recovers. The Z99.2 code is used to document their temporary dialysis status., A 40-year-old patient with chronic kidney disease stage 5 receives peritoneal dialysis at home. The Z99.2 code is used to indicate their dependence on peritoneal dialysis.
Documentation should clearly state the type of dialysis (hemodialysis or peritoneal dialysis), frequency of treatment, and any associated complications. The underlying cause of the renal failure (e.g., chronic kidney disease, acute renal failure) should also be documented and coded separately.
** Excludes1: encounter for fitting and adjustment of dialysis catheter (Z49.0-) Excludes2: noncompliance with renal dialysis (Z91.15-)
- Payment Status: Active
- Specialties:Nephrology
- Place of Service:"Inpatient Hospital", "Outpatient Hospital", "Office", "Home", "Skilled Nursing Facility", "Nursing Facility", "Independent Clinic", "Federally Qualified Health Center", "End-Stage Renal Disease Treatment Facility"